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154 results on '"Hansen, Henrik Jessen"'

7. Predictors of reoperation after lung volume reduction surgery

Author

Lund, Alberte, primary, Soldath, Patrick, additional, Nodin, Erika, additional, Hansen, Henrik Jessen, additional, Perch, Michael, additional, Jensen, Kristine, additional, Hornbech, Kåre, additional, Kalhauge, Anna, additional, Mortensen, Jann, additional, and Petersen, René Horsleben, additional

Published
2023
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10. Consensus on technical procedures for simulation-based training in thoracic surgery: an international needs assessment

Author

Haidari, Tamim Ahmad, Nayahangan, Leizl Joy, Bjerrum, Flemming, Hansen, Henrik Jessen, Konge, Lars, Massard, Gilbert, Batirel, Hasan Fevzi, Novoa, Nuria Maria, Milton, Richard Stephen, Petersen, Rene Horsleben, Participants, Delphi, and Tıp Fakültesi

Subjects
Pulmonary and Respiratory Medicine, Delphi Technique, Thoracic Surgery, General Medicine, Core curriculum, Education, Needs assessment, Simulation training, Surgery, Core Curriculum, Cardiology and Cardiovascular Medicine, Simulation Training, Needs Assessment
Abstract

OBJECTIVES To identify and prioritize technical procedures for simulation-based training to be integrated into the thoracic surgical curriculum. METHODS A 3-round Delphi survey was conducted from February 2022 to June 2022 among 34 key opinion leaders in thoracic surgery from 14 countries worldwide. The 1st round was a brainstorming phase to identify technical procedures that a newly qualified thoracic surgeon should be able to perform. All the suggested procedures were categorized, qualitatively analysed and sent to the 2nd round. The second round investigated: the frequency of the identified procedure at each institution, the number of thoracic surgeons that should be able to perform these procedures, the degree of risk to the patient if the procedure is performed by a non-competent thoracic surgeon and the feasibility of simulation-based education. In the 3rd round, elimination and re-ranking of the procedures from the 2nd round were performed. RESULTS Response rates in the 3 iterative rounds were 80% (28 out of 34), 89% (25 out of 28) and 100% (25 out of 25) in the 1st, 2nd and 3rd round, respectively. Seventeen technical procedures were included for simulation-based training in the final prioritized list. The top 5 procedures were Video-Assisted Thoracoscopic Surgery (VATS) lobectomy, VATS segmentectomy, VATS mediastinal lymph node dissection, diagnostic flexible bronchoscopy and robotic-assisted thoracic surgery port placement, robotic-assisted thoracic surgery docking and undocking. CONCLUSIONS The prioritized list of procedures represents a consensus of key thoracic surgeons worldwide. These procedures are suitable for simulation-based training and should be integrated in the thoracic surgical curriculum.

Published
2023

15. Multicentric evaluation of the impact of central tumour location when comparing rates of N1 upstaging in patients undergoing video-assisted and open surgery for clinical Stage I non-small-cell lung cancer†

Author

Decaluwé, Herbert, Petersen, René Horsleben, Brunelli, Alex, Pompili, Cecilia, Seguin-Givelet, Agathe, Gust, Lucile, Aigner, Clemens, Falcoz, Pierre-Emmanuel, Rinieri, Philippe, Augustin, Florian, Sokolow, Youri, Verhagen, Ad, Depypere, Lieven, Papagiannopoulos, Kostas, Gossot, Dominique, D’Journo, Xavier Benoit, Guerrera, Francesco, Baste, Jean-Marc, Schmid, Thomas, Stanzi, Alessia, Van Raemdonck, Dirk, Bardet, Jeremy, Thomas, Pascal-Alexandre, Massard, Gilbert, Fieuws, Steffen, Moons, Johnny, Dooms, Christophe, De Leyn, Paul, and Hansen, Henrik Jessen

Published
2018
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19. left upper lobe challenge in video-assisted thoracoscopic surgery—use of a composite score to improve the assessment of simulated lobectomy.

Author

Haidari, Tamim Ahmad, Bjerrum, Flemming, Grimstrup, Søren, Christensen, Thomas Decker, Vad, Henrik, Møller, Lars Borgbjerg, Hansen, Henrik Jessen, Konge, Lars, and Petersen, René Horsleben

Subjects
VIDEO-assisted thoracic surgery, LOBECTOMY (Lung surgery), CRONBACH'S alpha, VIRTUAL reality, MATHEMATICAL optimization
Abstract

Open in new tab Download slide Aim The aim of this study is to develop a reliable composite score based on simulator metrics to assess competency in virtual reality video-assisted thoracoscopic surgery lobectomy and explore the benefits of combining it with expert rater assessments. METHODS Standardized objective assessments (time, bleeding, economy of movement) and subjective expert rater assessments from 2 previous studies were combined. A linear mixed model including experience level, lobe and the number of previous simulated procedures was applied for the repeated measurements. Reliability for each of the 4 assessments was calculated using Cronbach's alpha. The Nelder–Mead numerical optimization algorithm was used for optimal weighting of scores. A pass–fail standard for the composite score was determined using the contrasting groups' method. RESULTS In total, 123 virtual reality video-assisted thoracoscopic surgery lobectomies were included. Across the 4 different assessments, there were significant effects (P  < 0.01) of experience, lobe, and simulator experience, but not for simulator attempts on bleeding (P  = 0.98). The left upper lobe was significantly more difficult compared to other lobes (P = 0.02). A maximum reliability of 0.92 could be achieved by combining the standardized simulator metrics with standardized expert rater scores. The pass/fail level for the composite score when including 1 expert rater was 0.33. CONCLUSIONS Combining simulator metrics with 1 or 2 raters increases reliability and can serve as a more objective method for assessing surgical trainees. The composite score may be used to implement a standardized and feasible simulation-based mastery training program in video-assisted thoracoscopic surgery lobectomy. [ABSTRACT FROM AUTHOR]

Published
2022
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30. The Society for Translational Medicine: clinical practice guidelines for the postoperative management of chest tube for patients undergoing lobectomy

Author

Gao, Shugeng, primary, Zhang, Zhongheng, additional, Aragón, Javier, additional, Brunelli, Alessandro, additional, Cassivi, Stephen, additional, Chai, Ying, additional, Chen, Chang, additional, Chen, Chun, additional, Chen, Gang, additional, Chen, Haiquan, additional, Chen, Jin-Shing, additional, Cooke, David Tom, additional, Downs, John B., additional, Falcoz, Pierre-Emmanuel, additional, Fang, Wentao, additional, Filosso, Pier Luigi, additional, Fu, Xiangning, additional, Force, Seth D., additional, Garutti, Martínez I., additional, Gonzalez-Rivas, Diego, additional, Gossot, Dominique, additional, Hansen, Henrik Jessen, additional, He, Jianxing, additional, He, Jie, additional, Holbek, Bo Laksáfoss, additional, Hu, Jian, additional, Huang, Yunchao, additional, Ibrahim, Mohsen, additional, Imperatori, Andrea, additional, Ismail, Mahmoud, additional, Jiang, Gening, additional, Jiang, Hongjing, additional, Jiang, Zhongmin, additional, Kim, Hyun Koo, additional, Li, Danqing, additional, Li, Gaofeng, additional, Li, Hui, additional, Li, Qiang, additional, Li, Xiaofei, additional, Li, Yin, additional, Li, Zhijun, additional, Lim, Eric, additional, Liu, Chia-Chuan, additional, Liu, Deruo, additional, Liu, Lunxu, additional, Liu, Yongyi, additional, Lobdell, Kevin W., additional, Ma, Haitao, additional, Mao, Weimin, additional, Mao, Yousheng, additional, Mou, Juwei, additional, Ng, Calvin Sze Hang, additional, Novoa, Nuria M., additional, Petersen, René H., additional, Oizumi, Hiroyuki, additional, Papagiannopoulos, Kostas, additional, Pompili, Cecilia, additional, Qiao, Guibin, additional, Refai, Majed, additional, Rocco, Gaetano, additional, Ruffini, Erico, additional, Salati, Michele, additional, Seguin-Givelet, Agathe, additional, Sihoe, Alan Dart Loon, additional, Tan, Lijie, additional, Tan, Qunyou, additional, Tong, Tang, additional, Tsakiridis, Kosmas, additional, Venuta, Federico, additional, Veronesi, Giulia, additional, Villamizar, Nestor, additional, Wang, Haidong, additional, Wang, Qun, additional, Wang, Ruwen, additional, Wang, Shumin, additional, Wright, Gavin M., additional, Xie, Deyao, additional, Xue, Qi, additional, Xue, Tao, additional, Xu, Lin, additional, Xu, Shidong, additional, Xu, Songtao, additional, Yan, Tiansheng, additional, Yu, Fenglei, additional, Yu, Zhentao, additional, Zhang, Chunfang, additional, Zhang, Lanjun, additional, Zhang, Tao, additional, Zhang, Xun, additional, Zhao, Xiaojing, additional, Zhao, Xuewei, additional, Zhi, Xiuyi, additional, and Zhou, Qinghua, additional

Published
2017
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37. The effects of low suction on digital drainage devices after lobectomy using video-assisted thoracoscopic surgery: a randomized controlled trial.

Author

Holbek, Bo Laksáfoss, Christensen, Merete, Hansen, Henrik Jessen, Kehlet, Henrik, and Petersen, René Horsleben

Subjects
CHEST endoscopic surgery, RANDOMIZED controlled trials, LOBECTOMY (Lung surgery), DRAINAGE, VIDEO-assisted thoracic surgery, CLINICAL trial registries, SUBCUTANEOUS emphysema
Abstract

View large Download slide View large Download slide OBJECTIVES The optimal level of suction on digital chest drainage devices after lobectomy using video-assisted thoracoscopic surgery (VATS) is unknown and varies between thoracic centres. In this randomized controlled trial, we assessed the potential benefits of low suction of –2 cmH2O compared to –10 cmH2O, using a digital drainage device. METHODS Two hundred and twenty-eight patients were randomized into 2 groups after VATS lobectomy for suspected or confirmed lung cancer. Primary outcome was time to chest drain removal. Drain data were obtained from the digital drainage devices, and patient data were obtained from medical records during admission, with a follow-up until postoperative day 30. RESULTS For the –2 cmH2O and –10 cmH2O groups, median (interquartile range) drainage duration was 27.4 h (23.3–71.2) and 47.5 h (24.5–117.8) (P  = 0.047), and the incidence of prolonged air leak >5 days was 14.4% and 24.3% (P  = 0.089), respectively. Median total fluid production was 566 h (329–1155) ml and 795 h (454–1605) ml (P  = 0.007). Median time to consistent air leak cessation (<20 ml/min) was 5.2 h (0.3–34.2) and 23.7 h (0.8–90.8) (P  < 0.001). There were no differences in the proportion or the size of the pneumothorax or subcutaneous emphysema after drain removal, and no differences were observed in postoperative morbidity. Median length of in-hospital stay was 2.0 days (2.0–5.8) and 3.0 days (2.0–9.0) (P  = 0.18). CONCLUSIONS A low suction level significantly shortened drainage duration, time to air leak cessation and total fluid production, without increasing morbidity. Clinical trial registration number NCT02911259. [ABSTRACT FROM AUTHOR]

Published
2019
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44. Microlobectomy: A Novel Form of Endoscopic Lobectomy.

Author

Dunning, Joel, Elsaegh, Mohamed, Nardini, Marco, Gillaspie, Erin A., Petersen, Rene Horsleben, Hansen, Henrik Jessen, Helsel, Bryan, Naase, Hatam, Kornaszewska, Malgorzata, Will, Malcolm B., Walker, William S., Wigle, Dennis, and Blackmon, Shanda Haley

Published
2017
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46. Simulation-Based Training for Thoracoscopy

Author

Bjurström, Johanna Margareta, primary, Konge, Lars, additional, Lehnert, Per, additional, Krogh, Charlotte Loumann, additional, Hansen, Henrik Jessen, additional, Petersen, René Horsleben, additional, and Ringsted, Charlotte, additional

Published
2013
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47. Fast-track video-assisted thoracoscopic surgery: future challenges.

Author

Holbek, Bo Laksáfoss, Horsleben Petersen, René, Kehlet, Henrik, and Hansen, Henrik Jessen

Subjects
VIDEO-assisted thoracic surgery, PERIOPERATIVE care, ANALGESIA, SURGICAL complications, SURGICAL robots, THORACIC surgery, CONVALESCENCE, FORECASTING, LENGTH of stay in hospitals, PNEUMONECTOMY, POSTOPERATIVE care, TIME, TREATMENT effectiveness, REHABILITATION
Abstract

Objectives: To provide a short overview of fast-track video-assisted thoracoscopic surgery (VATS) and to identify areas requiring further research.Design: A literature search was made using key words including: fast-track, enhanced recovery, video-assisted thoracoscopic surgery, robot-assisted thoracoscopic surgery (RATS), robotic, thoracotomy, single-incision, uniportal, natural orifice transluminal endoscopic surgery (NOTES), chest tube, air-leak, digital drainage, pain management, analgesia, perioperative management, anaesthesia and non-intubated. References from articles were screened for further articles. Using abstracts, areas of interest for developing a fast-track protocol were selected.Results: The minimally invasive approach can be divided into several surgical methods that need further research to establish superiority. The role of intubation has to be further examined as well as the role of chest drains. Multimodal analgesic treatment including preoperative methylprednisolone seems promising and requires further research.Conclusions: The fast-track data from other procedures may support future development and improvement of fast-track VATS. [ABSTRACT FROM AUTHOR]

Published
2016
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48. Video-assisted thoracoscopic surgery lobectomy for lung cancer is associated with a lower 30-day morbidity compared with lobectomy by thoracotomy.

Author

Laursen, Lykke Østergaard, Petersen, René Horsleben, Hansen, Henrik Jessen, Jensen, Tina Kold, Ravn, Jesper, and Konge, Lars

Subjects
VIDEO-assisted thoracic surgery, LOBECTOMY (Lung surgery), LUNG cancer treatment, THORACOTOMY, ETIOLOGY of diseases, DATABASES
Abstract

OBJECTIVES: Lung cancer is the most common cause of cancer-related deaths worldwide. Survival is highly dependent on surgery. Videoassisted thoracoscopic surgery (VATS) is increasingly chosen over open thoracotomy (OT) because of the possible benefits of the minimally invasive approach. Consequently, our aim was to compare the 30-day morbidity and mortality for lung cancer patients operated by VATS lobectomy or lobectomy by OT. METHOD: Data were obtained from prospective national and regional databases, including patients who underwent lobectomy for lung cancer in the eastern part of Denmark from 1 January 2005 to 31 December 2011. All patients operated before 2009 were re-staged according to the latest International Association for the Study of Lung Cancer lung cancer classification. Patient characteristics, comorbidities, pathology and operative data were assessed using an independent samples t-test, Pearson's ?2, Fisher's exact test and Mann-Whitney test. Morbidity was assessed using multinomial logistic regression adjusted for gender, age, cancer stage, forced expiratory volume in 1 s (FEV1), year of surgery and Charlson comorbidity score. RESULTS: In total, 1379 patients underwent lobectomy, 785 patients via VATS and 594 patients via thoracotomy. The two groups were similar in gender and FEV1. The patients operated by VATS were older (P < 0.001), and had a lower Charlson comorbidity score (P = 0.034), higher frequency of adenocarcinomas (P < 0.001) and lower cancer stage (P < 0.001). Among the VATS patients, 285 (36.3%) and among the thoracotomy patients, 288 (48.5%) had minor complications (P < 0.001); and 157 (20.0%) VATS patients and 212 (35.7%) thoracotomy patients had major complications (P < 0.001). The 30-day mortality rate was 1% in the VATS group and 1.5% in the thoracotomy group (P = 0.47). Multinomial logistic regression analysis showed that the prevalence of both minor [odds ratio (OR) = 1.51; 95% confidence interval (Cl) = 1.18-1.96] and major complications (OR = 1.91, 95% Cl = 1.44-2.53) was significantly higher for patients who underwent lobectomy via thoracotomy compared with VATS. CONCLUSION: Patients undergoing lobectomy via VATS were less likely to have at least one minor complication within the first 30 postoperative days and less likely to have at least one major complication, compared with patients operated by thoracotomy. These findings remained after adjusting for gender, age, FEV1, cancer stage, year of surgery and Charlson comorbidity score. [ABSTRACT FROM AUTHOR]

Published
2016
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